Organization Active NPI

Gary H Coelho,DDS, Dominic a Galasso, DDS and Jerold a Feldman,DDS,PC

  • Prosthodontics
  • New York, NY
National Provider Identifier
1093800815
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
26865 Issued in NY
Legal business name
GARY H COELHO,DDS, DOMINIC A GALASSO, DDS AND JEROLD A FELDMAN,DDS,PC
Practice address
12 E 41St St
5TH Floor
New York, NY 10017-6221
Phone
(212) 686-3953
Fax
(212) 889-5558
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Gary H Coelho, DDS
Title
President
Phone
(212) 686-3953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0700X 26865 NY Primary

Addresses

Primary practice location

12 E 41St St
5TH Floor
New York, NY 10017-6221

Mailing address

12 E 41St St
5TH Floor
New York, NY 10017-6221
Phone (212) 686-3953

Other identifiers 3

IdentifierTypeStateIssuer
26865OtherNYLICENSE #
33674OtherNYLICENSE #
33676OtherNYLICENSE #

National Provider Directory

National Provider Directory

Locations

12 E 41st St
Fl 5
New York, NY 10017
Phone (212) 686-3953

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093800815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 E 41ST ST",
            "address_2": "5TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176221",
            "telephone_number": "212-686-3953",
            "fax_number": "212-889-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 E 41ST ST",
            "address_2": "5TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176221",
            "telephone_number": "212-686-3953",
            "fax_number": "212-889-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY H COELHO,DDS, DOMINIC A GALASSO, DDS AND JEROLD A FELDMAN,DDS,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COELHO",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-686-3953",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "NY",
            "license": "26865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "26865",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "33674",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "33676",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.